Medical Billing Consultant

Milwaukee, WI
Finance & Accounting – Finance /
Contract /
Hybrid
 Who We Are  
Novir is an emerging diagnostic biotechnology company with an unmatched team of professionals and trusted partners delivering smart, fast and flexible testing solutions supported by reliable, cost-effective screening products and best-in-class technology. 

What We Do   
We offer a variety of on demand health screening services. Most recently, we have successfully scaled our first offering of rapid COVID-19 screening solutions with on-site delivery, Insta OnSite (do-it-yourself testing) and Virtual Proctoring enabled by our own proprietary Track platform.  We are taking the capabilities we have built and applying them to revolutionize preventative screening in the digital health space to launch and scale our offerings in our pipeline including: lead-testing at schools, vaccinations in schools and senior living, virtual drug testing, and preventative health screenings. 

Our Values  
Care for Tomorrow. Create a lasting, positive difference in the lives of others. Serve people with compassion and understanding. Recognize what truly matters and center every action around meeting the needs of our community both now and into the future. 
Delight our Customers. Appreciate every interaction with our customers and find ways to bring them joy. See through the Customer’s eyes, understand and anticipate their needs to consistently deliver solutions exceeding their expectations. 
Be Bold – Say It. Be direct and open. Speak with honesty and courage, and respect others for doing the same. Say what you think, embrace passionate debate, and always bring the issue to the table. Communicate with confidence. 
Bring Your Best Self. Show up and be authentic. Utilize your greatest strengths and stay true to who you are. Bring positive energy, be genuine in your approach, and continually seek ways to grow. Be uncompromisingly you. 
Innovate Relentlessly. Explore new possibilities and be willing to take a risk. Challenge status quo. Try new ideas, learn from mistakes, and rally the team to raise the bar. 
 




About This Role: 
We’re looking for a Medical Billing Consultant to join our team on a contract basis.
 

What You'll Do:

    • Research, verify, update, and assures the accuracy of information into the medical billing system  
    • Submits claims to insurance companies with an understanding of the correct medical codes to use  
    • Ability to research correct insurance codes, identifying occurrences and resolving claim denials  
    • Be an expert in the insurance appeals process and maintaining records of disputing and resolved claims 
    • Reviews medical cases to determine if some or all expenses should be billed to Medicare, Medicaid, insurance companies, or other agencies and corresponds and follows through with agencies to ensure funds are collected 
    • Assist with credentialing providers  
    • Conducts audits as needed to resolve problems from misapplied funds  
    • Comply with all applicable HIPAA policies and procedures and maintain confidentiality 

Key Experience We're Looking For:

    • A minimum of 5 years’ experience in medical billing, claim analysis, or secondary billing workflow functions  
    • Strong understanding of and experience with medical billing, and insurance coding 
    • Experience working with vaccination reimbursement strongly preferred
    • Experience working with medical billing software  
    • Experience working with HIPAA, Medicare and Medicaid regulations 
    • Bachelor’s Degree preferred 

Who You Are:

    • You're Thorough - You are willing to do the research where needed, and always close the loop when solving problems 
    • You’re Analytical: You understand systems and billing and are able to critically review the data you are entering for accuracy  
    • You’re Detail Oriented:   
    • You're Curious : You are always looking to grow professionally, and pass that curiosity on to team mates    
    • You’re A Strong Communicator: You are comfortable communicating with clients and internal team members clearly and concisely 
Novir is a fast-growing startup with a work hard, play hard attitude. We look for smart, motivated individuals who are excited to build something incredible from the ground up! 

Novir is a fast-growing startup with a work hard, play hard attitude. We look for smart, motivated individuals who are excited to build something incredible from the ground up!